Test Bank For Introduction to Maternity and Pediatric Nursing 9th Edition Test Bank For Introduction to Maternity and Pediatric Nursing 9th Edition
BY Gloria Leifer Chapter 1-34 Newest Version 2022 BY Gloria Leifer Chapter 1-34 Newest Version 2022
Test Bank For Introduction to Maternity and Pediatric 6. When assessing a family for possible barriers to health care, the nurse would consider which
factor to be most important?
Nursing 9th Edition BY Gloria Leifer Chapter 1-34 Newest A) Language
Version 2022 B) Health care workers’ attitudes
C) Transportation
D) Finances
1. The United States ranks 50th in the world for maternal mortality and 41st among 7. After teaching a group of nursing students about the issue of informed consent. Which of the
industrialized nations for infant mortality rate. When developing programs to assist in decreasing following, if identified by the student, would indicate an understanding of a violation of
these rates, which factor would most likely need to be addressed as having the greatest impact? informed consent?
A) Resolving all language and cultural differences A) Performing a procedure on a 15-year-old without consent
B) Assuring early and adequate prenatal care B) Serving as a witness to the signature process
C) Providing more extensive women’s shelters C) Asking whether the client understands what she is signing
D) Encouraging all women to eat a balanced diet D) Getting verbal consent over the phone for emergency procedures
2. When integrating the principles of family-centered care, the nurse would include which of the 8. The nurse is trying to get consent to care for an 11-year-old boy with diabetic ketoacidosis.
following? His parents are out of town on vacation, and the child is staying with a neighbor. Which action
A) Childbirth is viewed as a procedural event would be the priority?
B) Families are unable to make informed choices A) Getting telephone consent with two people listening to the verbal consent
C) Childbirth results in changes in relationships B) Providing emergency care without parental consent
D) Families require little information to make appropriate decisions C) Contacting the child’s aunt or uncle to obtain their consent
D) Advocating for termination of parental rights for this situation
3. When preparing a teaching plan for a group of first-time pregnant women, the nurse expects to
review how maternity care has changed over the years. Which of the following would the nurse 9. After teaching nursing students about the basic concepts of family-centered care, the instructor
include when discussing events of the 20th century? determines that the teaching was successful when the students state which of the following?
A) Epidemics of puerperal fever A) ―Childbirth affects the entire family, and relationships will change.‖
B) Performance of the first cesarean birth B) ―Families are not capable of making health care decisions for themselves.‖
C) Development of the x-ray to assess pelvic size C) ―Mothers are the family members affected by childbirth.‖
D) Creation of free-standing birth centers D) ―Childbirth is a medical procedure.‖
4. After teaching a group of students about pregnancy-related mortality, the instructor determines 10. A nursing instructor is preparing a class discussion on the trends in health care and health
that additional teaching is needed when the students identify which condition as a leading cause? care delivery over the past several centuries. When discussing the changes during the past
A) Hemorrhage century, which of the following would the instructor be least likely to include?
B) Embolism A) Disease prevention
C) Obstructed labor B) Health promotion
D) Infection C) Wellness
D) Analysis of morbidity and mortality
5. The nurse is working with a group of community health members to develop a plan to address
the special health needs of women. Which of the following conditions would the group address 11. A nurse is assigned to care for an Asian American client. The nurse develops a plan of care
as the major problem? with the understanding that based on this client’s cultural background, the client most likely
A) Smoking views illness as which of the following?
B) Heart disease A) Caused by supernatural forces.
C) Diabetes B) A punishment for sins.
D) Cancer C) Due to spirits or demons.
D) From an imbalance of yin and yang
,Test Bank For Introduction to Maternity and Pediatric Nursing 9th Edition Test Bank For Introduction to Maternity and Pediatric Nursing 9th Edition
BY Gloria Leifer Chapter 1-34 Newest Version 2022 BY Gloria Leifer Chapter 1-34 Newest Version 2022
12. A nurse is developing a plan of care for a woman to ensure continuity of care during 18. A nurse is preparing a presentation for a local community group about health status and
pregnancy, labor, and childbirth. Which of the following would be most important for the nurse children’s health. Which of the following would the nurse include as one of the most significant
to incorporate into that plan? measures?
A) Adhering to strict, specific routines A) Fetal mortality rate
B) Involving a pediatric physician B) Neonatal mortality rate
C) Educating the client about the importance of a support person C) Infant mortality rate
D) Assigning several nurses as a support team D) Maternal mortality rate
13. A nursing instructor is preparing a class discussion on case management in maternal and 19. A group of students are reviewing an article describing information related to indicators for
newborn health care. Which of the following would the instructor include as a key component? women’s health and the results of a national study. Which of the following would the students
Select all that apply. identify as being satisfactory for women? Select all that apply.
A) Advocacy A) Smoking cessation
B) Coordination B) Colorectal cancer screening
C) Communication C) Violence against women
D) Resource management D) Health insurance coverage
E) Event managed care E) Mammograms
14. After teaching a group of students about the concept of maternal mortality, the instructor 20. A nurse is preparing a presentation for a local women’s group about heart disease and
determines that additional teaching is needed when the students state which of the following? women. Which of the following would the nurse expect to address when discussing measures to
A) ―The rate includes accidental causes for deaths.‖ promote health.
B) ―It addresses pregnancy-related causes.‖ A) Women have similar symptoms as men for a heart attack.
C) ―The duration of the pregnancy is not a concern.‖ B) Heart disease is no longer viewed as a ―man’s disease.‖
D) ―The time frame is typically for a specified year.‖ C) Women experiencing a heart attack are at greater risk for dying.
D) Heart attacks in women are more easily diagnosed.
15. A group of students are reviewing the historical aspects about childbirth. The students
demonstrate understanding of the information when they identify the use of twilight sleep as a 21. A nurse is working to develop a health education program for a local community to address
key event during which time frame? breast cancer awareness. Which of the following would the nurse expect to include when
A) 1700s describing this problem to the group? Select all that apply.
B) 1800s A) White women have higher rates of breast cancer than African American women.
C) 1900s B) African American women are more likely to die from breast cancer at any age.
D) 2000s C) Survival at any stage is worse among white women.
D) Women living in South America have the highest rates of breast cancer.
16. A nurse is providing care to a woman who has just delivered a healthy newborn. Which E) Breast cancer is the leading cause of cancer mortality in women.
action would least likely demonstrate application of the concept of family-centered care?
A) Focusing on the birth as a normal healthy event for the family 22. A group of nursing students are reviewing information about factors affecting maternal,
B) Creating opportunities for the family to make informed decisions newborn, and women’s health. The students demonstrate understanding of the information when
C) Encouraging the woman to keep her other children at home they identify which of the following deficiencies as being associated with poverty? Select all that
D) Fostering a sense of respect for the mother and the family apply.
A) Literacy
17. When discussing fetal mortality with a group of students, a nurse addresses maternal factors. B) Employment opportunities
Which of the following would the nurse most likely include? Select all that apply. C) Mobility
A) Chromosomal abnormalities D) Political representation
B) Malnutrition E) Skills
C) Preterm cervical dilation
D) Underlying disease condition
E) Poor placental attachment
,Test Bank For Introduction to Maternity and Pediatric Nursing 9th Edition Test Bank For Introduction to Maternity and Pediatric Nursing 9th Edition
BY Gloria Leifer Chapter 1-34 Newest Version 2022 BY Gloria Leifer Chapter 1-34 Newest Version 2022
Answer Key 2. The nurse is providing home care for a 6-year-old girl with multiple medical challenges.
Which of the following activities would be considered the tertiary level of prevention?
1. B A) Arranging for a physical therapy session
2. C B) Teaching parents to administer albuterol
3. D C) Reminding parent to give a full course of antibiotics
D) Giving a DTaP vaccination at the proper interval
4. B
5. B 3. A nursing student is reviewing information about documenting client care and education in the
6. D medical record and the purposes that it serves. The student demonstrates a need for additional
study when the nurse identifies which of the following as a reason?
7. A A) Serves as a communication tool for the interdisciplinary team.
8. A B) Demonstrates education the family has received if legal matters arise.
9. A C) Permits others access to allow refusal of medical insurance coverage.
D) Verifies meeting client education standards set by the Joint Commission.
10. D
11. D 4. A pregnant client tells her nurse that she is interested in arranging a home birth. After
12. C educating the client on the advantages and disadvantages, which statement would indicate that
the client understood the information?
13. A, B, C, D A) ―I like having the privacy, but it might be too expensive for me to set up in my home.‖
14. A B) ―I want to have more control, but I am concerned if an emergency would arise.‖
15. C C) ―It is safer because I will have a midwife.‖
D) ―The midwife is trained to resolve any emergency, and she can bring any pain meds.‖
16. C
17. B, C, D 5. The nurse is making a home visit to a client who had a cesarean birth 3 days ago. Assessment
18. C reveals that the client is complaining of intermittent pain, rating it as 8 on a scale of 1 to 10. She
states, ―I’m pretty tired. And with this pain, I haven’t been drinking and eating like I should. The
19. B, E medication helps a bit but not much. My mom has been helping with the baby.‖ Her incision is
20. C clean, dry, and intact. Which nursing diagnosis would the nurse identify as the priority for this
21. A, B client?
A) Impaired skin integrity related to cesarean birth incision
22. A, B, C, D, E B) Fatigue related to effects of surgery and caretaking activities
C) Imbalanced nutrition, less than body requirements related to poor fluid and food intake
D) Acute pain related to incision and cesarean birth
Chapter 2- Family-Centered Community-Based Care
6. When caring for childbearing families from cultures different from one’s own, which of the
Maternity and Pediatric Nursing - Third Edition following must be accomplished first?
A) Adapt to the practices of the family’s culture
B) Determine similarities between both cultures
1. The nurse is caring for a 2-week-old newborn girl with a metabolic disorder. Which of the C) Assess personal feelings about that culture
following activities would deviate from the characteristics of family-centered care? D) Learn as much as possible about that culture
A) Softening unpleasant information or prognoses
B) Evaluating and changing the nursing plan of care 7. After teaching a group of students about the changes in health care delivery and funding,
C) Collaborating with the child and family as equals which of the following, if identified by the group as a current trend seen in the maternal and
D) Showing respect for the family’s beliefs and wishes child health care settings, would indicate that the teaching was successful?
A) Increase in community settings for care
B) Decrease in family poverty level
, Test Bank For Introduction to Maternity and Pediatric Nursing 9th Edition Test Bank For Introduction to Maternity and Pediatric Nursing 9th Edition
BY Gloria Leifer Chapter 1-34 Newest Version 2022 BY Gloria Leifer Chapter 1-34 Newest Version 2022
C) Increase in hospitalization of children B) 72–96 hours or less
D) Decrease in managed care C) 48–72 hours or less
D) 96–120 hours or less
8. The nurse would recommend the use of which supplement as a primary prevention strategy to
prevent neural tube defects with pregnant women? 14. Which of the following statements is accurate regarding women’s health care in today’s
A) Calcium system?
B) Folic acid A) Women spend 95 cents of every dollar spent on health care.
C) Vitamin C B) Women make almost 90% of all health care decisions.
D) Iron C) Women are still the minority in the United States.
D) Men use more health services than women.
9. Which action would the nurse include in a primary prevention program in the community to
help reduce the incidence of HIV infection? 15. A nurse is educating a client about a care plan. Which of the following statements would be
A) Provide treatment for clients who test positive for HIV appropriate to assess the client’s learning ability?
B) Monitor viral load counts periodically A) ―Did you graduate from high school; how many years of schooling did you have?‖
C) Educate clients in how to practice safe sex B) ―Do you have someone in your family who would understand this information?‖
D) Offer testing for clients who practice unsafe sex C) ―Many people have trouble remembering information; is this a problem for you?‖
D) ―Would you prefer that the doctor give you more detailed medical information?‖
10. When assuming the role of discharge planner for a woman requiring ventilator support at
home, the nurse would do which of the following? 16. A nurse is developing cultural competence. Which of the following indicates that the nurse is
A) Confer with the client’s mother in the process of developing cultural knowledge? Select all that apply.
B) Teach new self-care skills to the client A) Examining personal sociocultural heritage
C) Determine if there is a need for back-up power B) Reviewing personal biases and prejudices
D) Discuss coverage with the insurance company C) Seeking resources to further understanding of other cultures
D) Becoming familiar with other culturally diverse lifestyles
11. When comparing community-based nursing with nursing in the acute care setting to a group E) Performing a competent cultural assessment
of nursing students, the nurse describes the challenges associated with community-based nursing. F) Advocating for social justice to eliminate disparities.
Which of the following would the nurse include?
A) Increased time available for education 17. A nurse is engaged in providing family-centered care for a woman and her family. The nurse
B) Improved access to resources is providing instrumental support with which activity?
C) Decision making in isolation A) Explaining to the woman and family what to expect during the birth process.
D) Greater environmental structure B) Assisting the woman in breathing techniques to cope with labor contractions.
C) Reinforcing the woman’s role as a mother after birth
D) Helping the family obtain extra financial help for prescribed phototherapy
12. After teaching a group of students about the different levels of prevention, the instructor 18. A nurse is considering a change in employment from the acute care setting to community-
determines a need for additional teaching when the students identify which of the following as a based nursing. The nurse is focusing her job search on ambulatory care settings. Which of the
secondary prevention level activity in community-based health care? following would the nurse most likely find as a possible setting? Select all that apply.
A) Teaching women to take folic acid supplements to prevent neural tube defects A) Urgent care center
B) Working with women who are victims of domestic violence B) Hospice care
C) Working with clients at an HIV clinic to provide nutritional and CAM therapies C) Immunization clinic
D) Teaching hypertensive clients to monitor blood pressure D) Physician’s office
E) Day surgery center
13. A nursing instructor is describing trends in maternal and newborn health care. The instructor F) Nursing home
addresses the length of stay for vaginal births during the past decade, citing that which of the
following denotes the average stay?
A) 24–48 hours or less
BY Gloria Leifer Chapter 1-34 Newest Version 2022 BY Gloria Leifer Chapter 1-34 Newest Version 2022
Test Bank For Introduction to Maternity and Pediatric 6. When assessing a family for possible barriers to health care, the nurse would consider which
factor to be most important?
Nursing 9th Edition BY Gloria Leifer Chapter 1-34 Newest A) Language
Version 2022 B) Health care workers’ attitudes
C) Transportation
D) Finances
1. The United States ranks 50th in the world for maternal mortality and 41st among 7. After teaching a group of nursing students about the issue of informed consent. Which of the
industrialized nations for infant mortality rate. When developing programs to assist in decreasing following, if identified by the student, would indicate an understanding of a violation of
these rates, which factor would most likely need to be addressed as having the greatest impact? informed consent?
A) Resolving all language and cultural differences A) Performing a procedure on a 15-year-old without consent
B) Assuring early and adequate prenatal care B) Serving as a witness to the signature process
C) Providing more extensive women’s shelters C) Asking whether the client understands what she is signing
D) Encouraging all women to eat a balanced diet D) Getting verbal consent over the phone for emergency procedures
2. When integrating the principles of family-centered care, the nurse would include which of the 8. The nurse is trying to get consent to care for an 11-year-old boy with diabetic ketoacidosis.
following? His parents are out of town on vacation, and the child is staying with a neighbor. Which action
A) Childbirth is viewed as a procedural event would be the priority?
B) Families are unable to make informed choices A) Getting telephone consent with two people listening to the verbal consent
C) Childbirth results in changes in relationships B) Providing emergency care without parental consent
D) Families require little information to make appropriate decisions C) Contacting the child’s aunt or uncle to obtain their consent
D) Advocating for termination of parental rights for this situation
3. When preparing a teaching plan for a group of first-time pregnant women, the nurse expects to
review how maternity care has changed over the years. Which of the following would the nurse 9. After teaching nursing students about the basic concepts of family-centered care, the instructor
include when discussing events of the 20th century? determines that the teaching was successful when the students state which of the following?
A) Epidemics of puerperal fever A) ―Childbirth affects the entire family, and relationships will change.‖
B) Performance of the first cesarean birth B) ―Families are not capable of making health care decisions for themselves.‖
C) Development of the x-ray to assess pelvic size C) ―Mothers are the family members affected by childbirth.‖
D) Creation of free-standing birth centers D) ―Childbirth is a medical procedure.‖
4. After teaching a group of students about pregnancy-related mortality, the instructor determines 10. A nursing instructor is preparing a class discussion on the trends in health care and health
that additional teaching is needed when the students identify which condition as a leading cause? care delivery over the past several centuries. When discussing the changes during the past
A) Hemorrhage century, which of the following would the instructor be least likely to include?
B) Embolism A) Disease prevention
C) Obstructed labor B) Health promotion
D) Infection C) Wellness
D) Analysis of morbidity and mortality
5. The nurse is working with a group of community health members to develop a plan to address
the special health needs of women. Which of the following conditions would the group address 11. A nurse is assigned to care for an Asian American client. The nurse develops a plan of care
as the major problem? with the understanding that based on this client’s cultural background, the client most likely
A) Smoking views illness as which of the following?
B) Heart disease A) Caused by supernatural forces.
C) Diabetes B) A punishment for sins.
D) Cancer C) Due to spirits or demons.
D) From an imbalance of yin and yang
,Test Bank For Introduction to Maternity and Pediatric Nursing 9th Edition Test Bank For Introduction to Maternity and Pediatric Nursing 9th Edition
BY Gloria Leifer Chapter 1-34 Newest Version 2022 BY Gloria Leifer Chapter 1-34 Newest Version 2022
12. A nurse is developing a plan of care for a woman to ensure continuity of care during 18. A nurse is preparing a presentation for a local community group about health status and
pregnancy, labor, and childbirth. Which of the following would be most important for the nurse children’s health. Which of the following would the nurse include as one of the most significant
to incorporate into that plan? measures?
A) Adhering to strict, specific routines A) Fetal mortality rate
B) Involving a pediatric physician B) Neonatal mortality rate
C) Educating the client about the importance of a support person C) Infant mortality rate
D) Assigning several nurses as a support team D) Maternal mortality rate
13. A nursing instructor is preparing a class discussion on case management in maternal and 19. A group of students are reviewing an article describing information related to indicators for
newborn health care. Which of the following would the instructor include as a key component? women’s health and the results of a national study. Which of the following would the students
Select all that apply. identify as being satisfactory for women? Select all that apply.
A) Advocacy A) Smoking cessation
B) Coordination B) Colorectal cancer screening
C) Communication C) Violence against women
D) Resource management D) Health insurance coverage
E) Event managed care E) Mammograms
14. After teaching a group of students about the concept of maternal mortality, the instructor 20. A nurse is preparing a presentation for a local women’s group about heart disease and
determines that additional teaching is needed when the students state which of the following? women. Which of the following would the nurse expect to address when discussing measures to
A) ―The rate includes accidental causes for deaths.‖ promote health.
B) ―It addresses pregnancy-related causes.‖ A) Women have similar symptoms as men for a heart attack.
C) ―The duration of the pregnancy is not a concern.‖ B) Heart disease is no longer viewed as a ―man’s disease.‖
D) ―The time frame is typically for a specified year.‖ C) Women experiencing a heart attack are at greater risk for dying.
D) Heart attacks in women are more easily diagnosed.
15. A group of students are reviewing the historical aspects about childbirth. The students
demonstrate understanding of the information when they identify the use of twilight sleep as a 21. A nurse is working to develop a health education program for a local community to address
key event during which time frame? breast cancer awareness. Which of the following would the nurse expect to include when
A) 1700s describing this problem to the group? Select all that apply.
B) 1800s A) White women have higher rates of breast cancer than African American women.
C) 1900s B) African American women are more likely to die from breast cancer at any age.
D) 2000s C) Survival at any stage is worse among white women.
D) Women living in South America have the highest rates of breast cancer.
16. A nurse is providing care to a woman who has just delivered a healthy newborn. Which E) Breast cancer is the leading cause of cancer mortality in women.
action would least likely demonstrate application of the concept of family-centered care?
A) Focusing on the birth as a normal healthy event for the family 22. A group of nursing students are reviewing information about factors affecting maternal,
B) Creating opportunities for the family to make informed decisions newborn, and women’s health. The students demonstrate understanding of the information when
C) Encouraging the woman to keep her other children at home they identify which of the following deficiencies as being associated with poverty? Select all that
D) Fostering a sense of respect for the mother and the family apply.
A) Literacy
17. When discussing fetal mortality with a group of students, a nurse addresses maternal factors. B) Employment opportunities
Which of the following would the nurse most likely include? Select all that apply. C) Mobility
A) Chromosomal abnormalities D) Political representation
B) Malnutrition E) Skills
C) Preterm cervical dilation
D) Underlying disease condition
E) Poor placental attachment
,Test Bank For Introduction to Maternity and Pediatric Nursing 9th Edition Test Bank For Introduction to Maternity and Pediatric Nursing 9th Edition
BY Gloria Leifer Chapter 1-34 Newest Version 2022 BY Gloria Leifer Chapter 1-34 Newest Version 2022
Answer Key 2. The nurse is providing home care for a 6-year-old girl with multiple medical challenges.
Which of the following activities would be considered the tertiary level of prevention?
1. B A) Arranging for a physical therapy session
2. C B) Teaching parents to administer albuterol
3. D C) Reminding parent to give a full course of antibiotics
D) Giving a DTaP vaccination at the proper interval
4. B
5. B 3. A nursing student is reviewing information about documenting client care and education in the
6. D medical record and the purposes that it serves. The student demonstrates a need for additional
study when the nurse identifies which of the following as a reason?
7. A A) Serves as a communication tool for the interdisciplinary team.
8. A B) Demonstrates education the family has received if legal matters arise.
9. A C) Permits others access to allow refusal of medical insurance coverage.
D) Verifies meeting client education standards set by the Joint Commission.
10. D
11. D 4. A pregnant client tells her nurse that she is interested in arranging a home birth. After
12. C educating the client on the advantages and disadvantages, which statement would indicate that
the client understood the information?
13. A, B, C, D A) ―I like having the privacy, but it might be too expensive for me to set up in my home.‖
14. A B) ―I want to have more control, but I am concerned if an emergency would arise.‖
15. C C) ―It is safer because I will have a midwife.‖
D) ―The midwife is trained to resolve any emergency, and she can bring any pain meds.‖
16. C
17. B, C, D 5. The nurse is making a home visit to a client who had a cesarean birth 3 days ago. Assessment
18. C reveals that the client is complaining of intermittent pain, rating it as 8 on a scale of 1 to 10. She
states, ―I’m pretty tired. And with this pain, I haven’t been drinking and eating like I should. The
19. B, E medication helps a bit but not much. My mom has been helping with the baby.‖ Her incision is
20. C clean, dry, and intact. Which nursing diagnosis would the nurse identify as the priority for this
21. A, B client?
A) Impaired skin integrity related to cesarean birth incision
22. A, B, C, D, E B) Fatigue related to effects of surgery and caretaking activities
C) Imbalanced nutrition, less than body requirements related to poor fluid and food intake
D) Acute pain related to incision and cesarean birth
Chapter 2- Family-Centered Community-Based Care
6. When caring for childbearing families from cultures different from one’s own, which of the
Maternity and Pediatric Nursing - Third Edition following must be accomplished first?
A) Adapt to the practices of the family’s culture
B) Determine similarities between both cultures
1. The nurse is caring for a 2-week-old newborn girl with a metabolic disorder. Which of the C) Assess personal feelings about that culture
following activities would deviate from the characteristics of family-centered care? D) Learn as much as possible about that culture
A) Softening unpleasant information or prognoses
B) Evaluating and changing the nursing plan of care 7. After teaching a group of students about the changes in health care delivery and funding,
C) Collaborating with the child and family as equals which of the following, if identified by the group as a current trend seen in the maternal and
D) Showing respect for the family’s beliefs and wishes child health care settings, would indicate that the teaching was successful?
A) Increase in community settings for care
B) Decrease in family poverty level
, Test Bank For Introduction to Maternity and Pediatric Nursing 9th Edition Test Bank For Introduction to Maternity and Pediatric Nursing 9th Edition
BY Gloria Leifer Chapter 1-34 Newest Version 2022 BY Gloria Leifer Chapter 1-34 Newest Version 2022
C) Increase in hospitalization of children B) 72–96 hours or less
D) Decrease in managed care C) 48–72 hours or less
D) 96–120 hours or less
8. The nurse would recommend the use of which supplement as a primary prevention strategy to
prevent neural tube defects with pregnant women? 14. Which of the following statements is accurate regarding women’s health care in today’s
A) Calcium system?
B) Folic acid A) Women spend 95 cents of every dollar spent on health care.
C) Vitamin C B) Women make almost 90% of all health care decisions.
D) Iron C) Women are still the minority in the United States.
D) Men use more health services than women.
9. Which action would the nurse include in a primary prevention program in the community to
help reduce the incidence of HIV infection? 15. A nurse is educating a client about a care plan. Which of the following statements would be
A) Provide treatment for clients who test positive for HIV appropriate to assess the client’s learning ability?
B) Monitor viral load counts periodically A) ―Did you graduate from high school; how many years of schooling did you have?‖
C) Educate clients in how to practice safe sex B) ―Do you have someone in your family who would understand this information?‖
D) Offer testing for clients who practice unsafe sex C) ―Many people have trouble remembering information; is this a problem for you?‖
D) ―Would you prefer that the doctor give you more detailed medical information?‖
10. When assuming the role of discharge planner for a woman requiring ventilator support at
home, the nurse would do which of the following? 16. A nurse is developing cultural competence. Which of the following indicates that the nurse is
A) Confer with the client’s mother in the process of developing cultural knowledge? Select all that apply.
B) Teach new self-care skills to the client A) Examining personal sociocultural heritage
C) Determine if there is a need for back-up power B) Reviewing personal biases and prejudices
D) Discuss coverage with the insurance company C) Seeking resources to further understanding of other cultures
D) Becoming familiar with other culturally diverse lifestyles
11. When comparing community-based nursing with nursing in the acute care setting to a group E) Performing a competent cultural assessment
of nursing students, the nurse describes the challenges associated with community-based nursing. F) Advocating for social justice to eliminate disparities.
Which of the following would the nurse include?
A) Increased time available for education 17. A nurse is engaged in providing family-centered care for a woman and her family. The nurse
B) Improved access to resources is providing instrumental support with which activity?
C) Decision making in isolation A) Explaining to the woman and family what to expect during the birth process.
D) Greater environmental structure B) Assisting the woman in breathing techniques to cope with labor contractions.
C) Reinforcing the woman’s role as a mother after birth
D) Helping the family obtain extra financial help for prescribed phototherapy
12. After teaching a group of students about the different levels of prevention, the instructor 18. A nurse is considering a change in employment from the acute care setting to community-
determines a need for additional teaching when the students identify which of the following as a based nursing. The nurse is focusing her job search on ambulatory care settings. Which of the
secondary prevention level activity in community-based health care? following would the nurse most likely find as a possible setting? Select all that apply.
A) Teaching women to take folic acid supplements to prevent neural tube defects A) Urgent care center
B) Working with women who are victims of domestic violence B) Hospice care
C) Working with clients at an HIV clinic to provide nutritional and CAM therapies C) Immunization clinic
D) Teaching hypertensive clients to monitor blood pressure D) Physician’s office
E) Day surgery center
13. A nursing instructor is describing trends in maternal and newborn health care. The instructor F) Nursing home
addresses the length of stay for vaginal births during the past decade, citing that which of the
following denotes the average stay?
A) 24–48 hours or less
